Indiana
Professional Licensing Agency
Hospice Source
Pharmacy Board - Home Medical Equip Service Provider
License number
69000385A
Date granted
04/02/2008
Date expires
12/31/2015
Class
Pharmacy Board - Home Medical Equip Service Provider
Status
Active
Address
2829 Freeman St, Fort Wayne IN 46802
indianalicensing.org
ID 24890817
LAST UPDATED 2026-05-21 12:52:40 UTC
LAST UPDATED 2026-05-21 12:52:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.